Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges
EvidenceCare
NOVEMBER 19, 2024
CMS Policy Changes to Reduce Costs Financial pressures are rising as CMS implements the updated Version 28 Hierarchical Condition Category (HCC) model , which introduces changes aimed at limiting types of codes that are most used for up-coding or over-coding to help rein in spending. MA plans are looking for contradictions in provider notes.
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